Hi everyone,

I am working with the mother of a preemie who is having big time production
issues, and I am at a loss as to what to do next.

The beginning was a disaster because she received no support at all the
first days so she did not start pumping until the third day after her child
was born. I started working with her two weeks after birth, when she was
pumping four times a day with a hand pump and getting about 5 ml per
session.

Production has not gone above 60 ml per day. She is pumping ten times a
day, good double hospital grade pump, right flanges, has support from her
husband and personnel, is doing skin to skin several hours a day. She is on
domperidone. The baby is doing well, she has had no major complications and
is thriving. She is now 34 weeks, and will be discharged next week.

She had a hormone test last week and she has just sent me the results. I am
having a very hard time finding information to interpret them and yes, I´m
a doctor!!!! I cannot find normal levels of some hormones during lactation
in the literature.

The blood was drawn 4 days before her period, so pre-mentrual (end of
lutheal phase). FSH is low (2 mUI/ml), LH is also low (0.4 mUI/ml), 17-beta
estradiol is high (170.2 pg/ml) and prolactin is high (176.3 ng/ml).
Thyroid function is normal.

It seems to me that LH should be higher and that estradiol should be low...
but, as I said, I cannot find normal values in breastfeeding women.

Anuyody have this information or can shed any light?

Thank you,
Kika



-- 
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>

Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html

Comprometida con el Derecho a Vivir
http://derechoavivir.org

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